0001595721-20-000005.txt : 20200529 0001595721-20-000005.hdr.sgml : 20200529 20200528180208 ACCESSION NUMBER: 0001595721-20-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200529 DATE AS OF CHANGE: 20200528 EFFECTIVENESS DATE: 20200529 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Flow Forward Medical, Inc. CENTRAL INDEX KEY: 0001595721 IRS NUMBER: 464341897 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-367883 FILM NUMBER: 20922896 BUSINESS ADDRESS: STREET 1: 10900 S. CLAY BLAIR BLVD., SUITE 200 CITY: OLATHE STATE: KS ZIP: 66061 BUSINESS PHONE: 913 440 4439 MAIL ADDRESS: STREET 1: 10900 S. CLAY BLAIR BLVD., SUITE 200 CITY: OLATHE STATE: KS ZIP: 66061 FORMER COMPANY: FORMER CONFORMED NAME: Flow Forward Medical, LLC DATE OF NAME CHANGE: 20140102 D 1 primary_doc.xml X0708 D LIVE 0001595721 Flow Forward Medical, Inc. 4220 Shawnee Mission Parkway Suite B350 Fairway KS KANSAS 66205 913 440 4439 DELAWARE Flow Forward Medical, LLC Corporation true Frank Nicholas Franano 4220 Shawnee Mission Parkway Suite B350 Fairway KS KANSAS 66205 Executive Officer Director Jenny Martin 4220 Shawnee Mission Parkway Suite B350 Fairway KS KANSAS 66205 Executive Officer James M. Schultz 4220 Shawnee Mission Parkway Suite B350 Fairway KS KANSAS 66205 Director Kurt Dasse 4220 Shawnee Mission Parkway Suite B350 Fairway KS KANSAS 66205 Director Jeff Weinrich 4220 Shawnee Mission Parkway Suite B350 Fairway KS KANSAS 66205 Director Biotechnology Decline to Disclose 06b false true false true false 10000 Indefinite 0 Indefinite false 0 0 0 0 true false Flow Forward Medical, Inc. /s/Frank Nicholas Franano Frank Nicholas Franano President/CEO/Director 2020-05-28